Document Detail


Patient ratings of chewing ability from a randomised crossover trial: lingualised vs. first premolar/canine-guided occlusion for complete dentures.
MedLine Citation:
PMID:  17518954     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Complex procedures involving a facebow transfer and the use of lingualised teeth are deemed to have a positive influence on the chewing ability with complete dentures. OBJECTIVES: To determine if patients' ratings of their ability to chew depend on the method of complete denture fabrication. METHODS: Edentulous patients (n = 20) participated in a within-subject crossover trial. Each patient received two sets of new complete dentures. One pair was manufactured based on intraoral tracing of centric relation and facebow transfer; semi-anatomical teeth with lingualised occlusion denture (LOD) were chosen. The second pair was made using a simplified procedure without facebow transfer; jaw relations were recorded with wax occlusion rims, and anatomical teeth with a first premolar/canine-guidance (CGD) were selected. The dentures were delivered in randomised order, and each was worn for 3 months. Three months after delivery, patients' ratings of each new prosthesis were recorded on visual analogue scales for their ability to chew seven index foods. Repeated measurements analysis of variance was performed to investigate possible carry-over effects accounting for confounding by treatment period. RESULTS: When comparing the two treatments, participants rated their ability to chew in general, to masticate carrots, hard sausage, steak and raw apple in particular, was significantly better with the CGD (anatomical teeth) than with the LOD (p < 0.05). CONCLUSION: Comprehensive methods for the fabrication of complete dentures including semi-anatomical lingualised teeth and a full registration do not seem to influence the perceived chewing ability, when compared with more simple procedures. Chewing ability for tough foods appears to benefit from the use of anatomical teeth.
Authors:
Guido Heydecke; Ahmed Shadi Akkad; Martin Wolkewitz; Michael Vogeler; Jens C Türp; Joerg R Strub
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Gerodontology     Volume:  24     ISSN:  0734-0664     ISO Abbreviation:  Gerodontology     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-05-23     Completed Date:  2007-07-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8215850     Medline TA:  Gerodontology     Country:  England    
Other Details:
Languages:  eng     Pagination:  77-86     Citation Subset:  D    
Affiliation:
Department of Prosthodontics, School of Dentistry, University Hospital, Freiburg, Germany. guido.heydecke@uniklinik-freiburg.de
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MeSH Terms
Descriptor/Qualifier:
Aged
Bicuspid
Cross-Over Studies
Cuspid
Dental Models
Dental Occlusion*
Denture Design / methods*
Denture Retention
Denture, Complete* / psychology
Female
Humans
Jaw Relation Record / methods
Male
Mastication*
Middle Aged
Mouth, Edentulous / psychology,  rehabilitation*
Patient Satisfaction
Tooth, Artificial

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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